Provider Demographics
NPI:1700020963
Name:AHORLU, REGINA ESI (AGACNP)
Entity Type:Individual
Prefix:MS
First Name:REGINA
Middle Name:ESI
Last Name:AHORLU
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Gender:F
Credentials:AGACNP
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Mailing Address - Street 1:400 MAIN STREET
Mailing Address - Street 2:NORTHERN WESTCHESTER HOSPITAL
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549
Mailing Address - Country:US
Mailing Address - Phone:914-666-1042
Mailing Address - Fax:914-666-1978
Practice Address - Street 1:42 COBBLESTONE LN
Practice Address - Street 2:APT# 2-C
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5090
Practice Address - Country:US
Practice Address - Phone:845-381-1762
Practice Address - Fax:845-381-1762
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2019-07-17
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Provider Licenses
StateLicense IDTaxonomies
NY543793163W00000X
NY431013363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse